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12 Best BestNotes Alternatives for Windows in 2026

Explore 12 alternatives to BestNotes — vetted by our editors with real user reviews, pricing, and feature comparisons.

The best BestNotes alternatives, ranked by SpotScore

Quick answer

Looking for a BestNotes alternative? The top picks are Sigmund AURA, Exym EHR and Ensora Mental Health (formerly TheraNest). Sigmund AURA comes out ahead with a SpotScore of -1 and a 3.3★ rating. See all 12 compared on score, rating, and price below.

If BestNotes isn't pulling its weight, this list points you to better options. These 12 mental health software alternatives are ranked by SpotScore (verified satisfaction and market presence), ratings, and pricing model, with editorial review on every entry. Compare them in the table, then read the detail for each pick below.

ProductSpotScoreRatingPricingBest for
Sigmund AURARevolutionize patient care with Sigmund AURA.★★★☆☆ 3.3Quotation Basedteams of all sizes
Exym EHRElevate your practice and transform mental health care.Not yet ratedQuotation Basedteams of all sizes
Ensora Mental Health (formerly TheraNest)Purpose-Built EHR for Therapists and Behavioral Health PracticesNot yet ratedFreeFree Trialmid-size & enterprise teams
ABAdeskSupporting Behavioral Health with Easy, Automated WorkflowsNot yet ratedFreeFree Trialsmall & mid-size businesses
SahhaRevolutionize healthcare interactions with Sahha.Not yet ratedQuotation Basedteams of all sizes
Our SpaceNurture your bond, no matter the distance.Not yet ratedSubscriptionteams of all sizes
MediarMaximize wellness, optimize performance, live to the fullest.Not yet ratedFreeFreemium · Subscriptionteams of all sizes
FitIQMaximize wellness potential with cutting-edge health tracking.Not yet ratedFreeFreemium · Subscriptionteams of all sizes
Soul ArchitectElevate your spiritual journey to new heights.Not yet ratedOne-time licenseteams of all sizes
SblamNurture your mind, thrive in life.Not yet ratedSubscriptionteams of all sizes
B CareEmpowering healthcare providers, enhancing patient care.★★★★★ 4.5Quotation Basedteams of all sizes
DrCloudEHRRevolutionizing healthcare management for better patient outcomes.★★★★★ 5Quotation Basedteams of all sizes
Sigmund AURA

Sigmund AURA

Revolutionize patient care with Sigmund AURA.

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

3.3

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What is Sigmund AURA?

Sigmund AURA is an EHR platform built for behavioral health and addiction treatment providers, covering billing, collections, care coordination, clinical decision support, and configurable alerts. Customizable dashboards surface operational data to help providers monitor workflows and patient ...

Read more about Sigmund AURA

Sigmund AURA offers custom pricing plan

Exym EHR

Exym EHR

Elevate your practice and transform mental health care.

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

Add to compare

What is Exym EHR?

Experience seamless mental health EHR management with Exym EHR, the leading system designed specifically for behavioral health practitioners. This innovative software empowers clinicians with tailored clinical note management capabilities and sophisticated client data analytics. By leveraging ...

Read more about Exym EHR

Exym EHR offers custom pricing plan

Ensora Mental Health (formerly TheraNest) - Logo

Ensora Mental Health (formerly TheraNest)

Recommended

Purpose-Built EHR for Therapists and Behavioral Health Practices

Best for: Mid-market · Enterprise

HIPAA

Add to compare

watch-demo

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What is Ensora Mental Health (formerly TheraNest)?

Ensora Mental Health is a dedicated, cloud-based EHR and practice management solution tailored specifically for behavioral health providers. Designed to simplify scheduling, documentation, billing, and telehealth, it helps therapists reclaim hours lost to administrative tasks. With features ...

Read more about Ensora Mental Health (formerly TheraNest)
Free TrialTry Free →·

Starts from $26.58 therapist/month when yearly

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ABAdesk - Logo

ABAdesk

Supporting Behavioral Health with Easy, Automated Workflows

Best for: SMB teams · Mid-market

HIPAA
Start Free Trial

Add to compare

watch-demo

Watch Demo

What is ABAdesk?

ABAdesk is a HIPAA-compliant ABA therapy and behavioral health platform designed to simplify data collection and treatment planning while helping providers focus more on client progress. Built for ABA clinics, behavioral health providers, and therapy practices, it offers tools for skill ...

Read more about ABAdesk
Free TrialTry Free →·

Starts from $10client/month when monthly

Sahha

Sahha

Revolutionize healthcare interactions with Sahha.

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

Add to compare

What is Sahha?

Sahha is a health analytics API that lets developers integrate physical and mental health data from wearables and smartphones into their applications through a single connection. It aggregates metrics from multiple devices and converts them into structured health insights, with an expanding ...

Read more about Sahha

Sahha offers custom pricing plan

Our Space

Our Space

Nurture your bond, no matter the distance.

Best for: SMB teams · Mid-market · Enterprise

See Plans & Pricing

Add to compare

What is Our Space?

Introducing Our Space, the ultimate Couples Relationship App designed to enhance and nurture the bond between partners. This cutting-edge application provides a secure and intimate platform for couples to intimately connect and communicate, regardless of their geographical separation. Our Space ...

Read more about Our Space

Starts from $2.99/month when Billed Yearly

Mediar

Mediar

Maximize wellness, optimize performance, live to the fullest.

Best for: SMB teams · Mid-market · Enterprise

Try for Free

Add to compare

What is Mediar?

Mediar is an AI health assistant that connects wearable device data with user input to deliver personalized wellness recommendations through Telegram. It tracks health and fitness metrics, identifies patterns for improvement, and sends tailored guidance based on each user's data. The tool is ...

Read more about Mediar
FitIQ

FitIQ

Maximize wellness potential with cutting-edge health tracking.

Best for: SMB teams · Mid-market · Enterprise

Try for Free

Add to compare

What is FitIQ?

Introducing FitIQ, a groundbreaking solution designed to enhance your health and wellness journey. With the tagline "Elevate The Health Metrics to The Next Level," FitIQ revolutionizes health and fitness tracking by leveraging cutting-edge WHOOP® data analysis and visualization tools. This ...

Read more about FitIQ
Soul Architect

Soul Architect

Elevate your spiritual journey to new heights.

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

Add to compare

What is Soul Architect?

Soul Architect is a Notion-based spiritual life management system that helps users gather, organize, and reflect on their spiritual knowledge and personal growth. It provides structured templates for building a personalized spiritual practice, with visualizations and journaling frameworks to ...

Read more about Soul Architect
Sblam

Sblam

Nurture your mind, thrive in life.

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

Add to compare

What is Sblam?

Introducing Sblam, the innovative software solution designed to empower you to be the driving force behind your own happiness. With the tagline "Be your own reason to smile," Sblam is focused on fostering emotional and relational wellness by enhancing your capacity to comprehend your inner ...

Read more about Sblam
B Care

B Care

Empowering healthcare providers, enhancing patient care.

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

4.5

Add to compare

What is B Care?

Introducing B Care, a cutting-edge Inpatient and Community Electronic Health Record (EHR) Software designed to streamline patient care processes. With B Care, healthcare professionals can easily automate patient workflows and enhance the efficiency of patient management. At its core, B Care ...

Read more about B Care

B Care offers custom pricing plan

DrCloudEHR

DrCloudEHR

Revolutionizing healthcare management for better patient outcomes.

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

5.0

Add to compare

What is DrCloudEHR?

DrCloudEHR is a cloud-based EHR platform for healthcare organizations that integrates treatment planning, medical billing, and telehealth in one system. It includes electronic clinical notes with due-date reminders, electronic fax from the patient chart, a browser-based eMAR charting system, ...

Read more about DrCloudEHR

DrCloudEHR offers custom pricing plan

Why these BestNotes alternatives made the cut

Sigmund AURABest for teams of all sizes
Exym EHRBest for teams of all sizes
Ensora Mental Health (formerly TheraNest)Best for mid-size & enterprise teams

Ensora is purpose-built for behavioral health practices, offering customizable clinical notes, dynamic intake forms, and tools specific to therapists, rather than adapting generic EHR features.

Watch for: While AI-powered note generation is promising, it's not yet available, which may be a drawback for users seeking full automation immediately.

ABAdeskBest for small & mid-size businesses

ABAdesk allows clinicians to create tailored treatment plans with flexible phases and program elements, ensuring therapy aligns with each client’s unique needs.

Watch for: While it performs well independently, ABAdesk offers fewer direct integrations with external practice management or billing systems compared to some competitors.

SahhaBest for teams of all sizes
Our SpaceBest for teams of all sizes
MediarBest for teams of all sizes
FitIQBest for teams of all sizes
Soul ArchitectBest for teams of all sizes
SblamBest for teams of all sizes
B CareBest for teams of all sizes
DrCloudEHRBest for teams of all sizes

The things that matter when replacing BestNotes

A factual rundown of the 12 alternatives: 4 offer a free tier.

How the order works.

Frequently Asked Questions (FAQs)

Stuck on something? We're here to help with all the questions and answers in one place.

The top-rated alternatives to BestNotes are DrCloudEHR (5.0★), B Care (4.5★), Sigmund AURA (3.3★). Compare all 12 alternatives side-by-side above.

When evaluating alternatives to BestNotes, prioritize: Patient Records Management, Clinical Documentation Management, HIPAA Compliant, Treatment Planning, Customization, transparent pricing, free trial availability, and integrations with your existing tools. Use the filters above to compare by feature, budget, and team size.

Migration difficulty depends on how deeply BestNotes is integrated into your workflows. Most alternatives offer data export/import tools and dedicated onboarding support. We recommend shortlisting 2–3 options, running a free trial, and checking each vendor's migration guides before committing.

How to decide on a BestNotes alternative

Making the move from BestNotes

A clean break from BestNotes starts with your data. Export it, verify the new tool can take it in, and check that your core workflows carry over. Pilot the switch with a small team or project before going all in, and don't cancel BestNotes until the migration's finished. Free trials above make testing low-risk.

Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].